WHAT ARE THE TESTS USED TO DIAGNOSE ORGANIC ED?

* Intracavernous Pharmacological Testing All agents used cause dilatation in arteries and closing in veins and blood is restrained within the penis and erection occurs.It provides information about vascular bearing of the penis.

Color Doppler Ultrasonography Of Penis

It is useful to perform with pharmacological tests.It provides an opinion about penis anatomy and vascular bearing.

Nocturnal Penile Tumescence (NPTR)

Rigiscan Monitor:

It is a tool to obtain information about nocturnal erection count and quality.We obtain such information in some graphics.

Pharmacological cavernosometry – graphy

It is used to determina the location of venous leakage.It is useful to perform if operation is planned.

Angiography

It is important especially to detect the arterial disorder out of the penis and to determine the further operation.

WHAT ARE APPLIED FOR THE TREATMENT OF ED?

Non-invasive methods

Elimination of risk factors

Consultancy – Psychotherapy

Oral and topical drugs

Vacuum tools

* Invasive methods

Transurethral drug applications

Alprotadyl use is especially common in USA.A drug is loaded into the urethra with its special device just before the intercourse.

Intracavernous Drug Applications (Intra Cavernous Injection ICI)

Papaverine and/or prostaglandin derivates may be used single or in combination with different doses just like diagnosis step before the intercourse.A special training should be given to the person to apply this injection by himself.

Penile Prosthesis

Although it is a gold standard for ED treatment, treatment should progress from the least invasive to the most invasive.

Prosthesis use is a irreversible decision!

Vascular surgery:

Vascular by-passes may be applied to increase the blood flow into the penis with some microscopic techniques.

WHAT IS PREMATURE EJACULATION? HOW IS IT TREATED?

Premature ejaculation may be defined as occurrence of the ejaculation within a short period so that parties can not obtain the required pleasure from sexual intercourse.